Provider Demographics
NPI:1225041759
Name:A PLUS DME SERVICES PROFESSIONAL
Entity Type:Organization
Organization Name:A PLUS DME SERVICES PROFESSIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-614-0788
Mailing Address - Street 1:11155 CULVER BLVD
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4048
Mailing Address - Country:US
Mailing Address - Phone:310-614-0788
Mailing Address - Fax:310-559-5327
Practice Address - Street 1:11155 CULVER BLVD
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4048
Practice Address - Country:US
Practice Address - Phone:310-614-0788
Practice Address - Fax:310-559-5327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6009820001Medicare NSC